Who is a midwife
Services for which the social security agencies bear the costs are listed below. Any additional services provided by midwives that are outside of the service catalog of the social insurance institutions, such as advice on the desire to have children (pre-conceptual advice), birth preparation courses, breastfeeding groups, nutritional advice, pelvic floor training, postnatal massage, baby massage and much more, must be paid in full. You can find more information on the costs of midwifery care at a glance on the website of the Austrian Midwifery Committee.
Care during pregnancy
In the period between the 18th and 22nd week of pregnancy, midwifery advice can be used as part of the mother-child pass examinations. The costs for this are covered by the social security agencies. Midwifery advice is not a prerequisite for obtaining the.
If an outpatient birth is planned
If the pregnant woman is planning an outpatient birth (discharge from the hospital within 24 hours of the birth), the social security agencies will cover the costs for two home visits or office hours in the midwife's office during the pregnancy.
If the home birth is planned
If the pregnant woman is planning a home birth, the social security agencies will pay for eight home visits or consultation hours in the midwife's office from the 22nd week of pregnancy. A prerequisite for advice during pregnancy from a midwife with a health insurance contract is that the pregnant woman has decided to give birth at home. If the birth takes place in a hospital despite a planned home birth, there must be medical reasons so that the health insurance company pays the costs of midwifery care during pregnancy. If you wish to have a midwife of your choice (midwife without a health insurance contract), the costs must first be borne entirely by yourself. On request, the health insurance company can reimburse 80 percent of the applicable tariffs that a midwife with a health insurance contract would receive.
Obstetrics and care
The costs of childbirth in a hospital are covered by the social security agencies. All necessary medical services and obstetric offers can be used. For a normal delivery without complications, care in a hospital must be granted for a maximum of ten days (cf. § 161 ASVG). The birth accompaniment in the hospital by a midwife of choice (midwife without a health insurance contract) is a private service and must therefore be paid for yourself - reimbursement by the social insurance provider is not possible. You can find more information under hospital birth.
Home birth, birth in a midwife practice
A prerequisite for childbirth care by a midwife with a health insurance contract is that the pregnant woman has decided to have a home birth or a birth in a midwife's practice. If you wish to have a midwife of your choice, the costs must first be borne entirely by yourself. On request, the health insurance company can reimburse 80 percent of the applicable tariffs that a midwife with a health insurance contract would receive. For more information, see Home Birth.
Child care care
Mothers have the option of calling in a midwife for care and support during the postnatal period. To make this easier, mothers of newborns are financially entitled to follow-up care from a midwife:
From the 1st to the 5th day after the birth, the costs for a daily home visit by a contract midwife are covered by the social security agency. In the case of caesarean, premature and multiple births, the costs for a daily home visit up to the 6th day after the birth are covered by the social security agencies. If necessary, the social insurance agency will take care of up to seven additional home visits or office hours in the midwife's office from the 6th day to the 8th week after the birth. This can be necessary, for example, if there are breastfeeding problems, perineum injuries or if the uterus does not regress.
Midwives who do not have a contract with the responsible health insurance company have to be paid privately. However, there is a right to a reimbursement of up to 80 percent of the contract tariff (this is usually not the same as the amount that is on the fee note) from the social security agency.
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